Healthcare Provider Details

I. General information

NPI: 1205166089
Provider Name (Legal Business Name): BENEALIA CARTER LPC, LCPC, LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 JEFF DR
MECHANICSVILLE VA
23111-4528
US

IV. Provider business mailing address

8005C CREIGHTON PKWY # 724
MECHANICSVILLE VA
23111-4593
US

V. Phone/Fax

Practice location:
  • Phone: 703-770-8092
  • Fax: 703-770-6082
Mailing address:
  • Phone: 703-770-8092
  • Fax: 703-770-6082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701009264
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC15379
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12118
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23533
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200001422
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11685
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: